Jackie L Collins (NPI# 1023086568, PAC ID# 5991833949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023086568 |
| PAC ID by PECOS | 5991833949 |
| Professional Enrollment ID | I20100512000344 |
| Full Name | Jackie L Collins |
| Organization Legal Name | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| Address |
2805 Campus Dr Suite 105 Plymouth MN 55441-2677 |
| Phone Number | 7635197440 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709799752 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2677 | 7635197440 | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| Organization Legal Name | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayanthi Vijayakumar | Hematology/oncology | Minnesota Oncology Hematology, Pa | 110105 Pioneer W Trl, Suite 302, Chaska, MN 55318-2680 |
| Jessica Ann Thomes Pepin | Gynecological Oncology | Minnesota Oncology Hematology, Pa | 6025 Lake Rd, Suite 110, Woodbury, MN 55125-1709 |
| Megan K Shay | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Chara J Anderson | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 910 E 26th St, Suite 100 200, Minneapolis, MN 55404-4526 |
| Warren A Mcguire | Radiation Oncology | Minnesota Oncology Hematology, Pa | 1580 Beam Ave, Maplewood, MN 55109-1127 |
| Gauri G Nagargoje | Medical Oncology | Minnesota Oncology Hematology, Pa | 11850 Blackfoot St Nw, Suite 100, Coon Rapids, MN 55433-2774 |
| Michelle L Paulsen | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 675 E Nicollet Blvd, Suite 200, Burnsville, MN 55337-6743 |
| Amy Lee | Physician Assistant | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Amy K Yilek | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Kathryn L Houselog | Nurse Practitioner | Minnesota Oncology Hematology, Pa | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 |
| Street Address |
2805 CAMPUS DR SUITE 105 |
| City | PLYMOUTH |
| State | MN |
| Zip | 55441-2677 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janelle Fuchs | Registered Dietitian Or Nutrition Professional | Allina Health System | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2677 |
| Michael C Fasching | Plastic and Reconstructive Surgery | 2805 Campus Dr, Suite 335, Plymouth, MN 55441-2679 | |
| George H Landis | Plastic and Reconstructive Surgery | 2805 Campus Dr, Suite 335, Plymouth, MN 55441-2679 | |
| Jennifer L Reemtsma | Registered Dietitian Or Nutrition Professional | Allina Health System | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2677 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody L Grande | Clinical Social Worker | 4205 Lancaster Lane N, Suite 111, Plymouth, MN 55441-1702 | |
| Courtney W Whitney | Sleep Medicine | 2700 Campus Dr, Suite 100, Plymouth, MN 55441-2631 | |
| Kendra D Elm | Emergency Medicine | Allina Health System | 2855 Campus Dr, Plymouth, MN 55441-2649 |
| Dana H Paugh | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Minnesota Pa | 2855 Campus Dr, Suite 200, Plymouth, MN 55441-2649 |
| David A Hirschman | Critical Care (intensivists) | Emergency Care Consultants Pa | 2855 Campus Dr, Plymouth, MN 55441-2649 |
| Katherine G Katzung | Emergency Medicine | Allina Health System | 2855 Campus Dr, Plymouth, MN 55441-2649 |
| Daniel T Olaughlin | Emergency Medicine | Allina Health System | 2855 Campus Dr, Plymouth, MN 55441-2649 |
| Ashley A Anderson | Emergency Medicine | Allina Health System | 2855 Campus Dr, Plymouth, MN 55441-2649 |
| Nailim Maria Milian | Obstetrics/gynecology | Allina Health System | 2855 Campus Dr, Plymouth, MN 55441-2649 |
| Daniela T Ouzounova | Internal Medicine | Allina Health System | 2855 Campus Dr, Suite 400, Plymouth, MN 55441-2659 |
| Find all physicians in zip 55441 | |||
| City | PLYMOUTH |
| Zip Code | 55441 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PLYMOUTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jackie L Collins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.